Individual
MS. CRYSTAL LEE STORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 452-8251
(907) 459-3978
Mailing address
201 1ST AVE, SUITE 300, FAIRBANKS, AK 99701-4848
(907) 452-8251
(907) 459-3978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
518
AK
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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